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Provider 1053601864

NPI: 1053601864Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,999,927

Total Claims

114K

Beneficiaries

93K

1.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$936K
+13%
2019
$1.1M
+23%
2020
$1.3M
+18%
2021
$1.5M
-5%
2022
$1.5M
+21%
2023
$1.8M
+11%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 87% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$8.7M

42K claims · 86.9%

Your Cost: $206.41/claim|Median: $121.16
1.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$653K

27K claims · 6.5%

Your Cost: $24.09/claim|Median: $53.41
0.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$410K

24K claims · 4.1%

Your Cost: $17.35/claim|Median: $37.81
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$41K

2,966 claims · 0.4%

Your Cost: $13.91/claim|Median: $41.28
0.3× median
G2025Top 25%

$28K

545 claims · 0.3%

Your Cost: $52.24/claim|Median: $15.63
3.3× median
99215Normal range

Office/outpatient visit, high complexity

$25K

926 claims · 0.3%

Your Cost: $27.19/claim|Median: $74.09
0.4× median
G0008Normal range

$20K

2,233 claims · 0.2%

Your Cost: $8.85/claim|Median: $2.54
3.5× median
91322Normal range

$18K

168 claims · 0.2%

Your Cost: $105.15/claim|Median: $76.28
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$13K

704 claims · 0.1%

Your Cost: $17.99/claim|Median: $25.06
0.7× median
G0439Normal range

Annual wellness visit, subsequent visit

$12K

1,461 claims · 0.1%

Your Cost: $8.39/claim|Median: $5.42
1.5× median
G2211Normal range

$9K

1,429 claims · 0.1%

Your Cost: $6.25/claim|Median: $2.40
2.6× median
90834Normal range

Psychotherapy, 45 minutes

$8K

410 claims · 0.1%

Your Cost: $20.50/claim|Median: $63.65
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$8K

1,811 claims · 0.1%

Your Cost: $4.33/claim|Median: $76.06
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

1,992 claims · 0.1%

Your Cost: $3.91/claim|Median: $7.18
0.5× median
90480Normal range

$6K

232 claims · 0.1%

Your Cost: $25.87/claim|Median: $25.29
1.0× median
0134ANormal range

$6K

167 claims · 0.1%

Your Cost: $33.42/claim|Median: $33.54
1.0× median
90656Top 1%

$6K

157 claims · 0.1%

Your Cost: $35.21/claim|Median: $8.67
4.1× median
90791Normal range

Psychiatric diagnostic evaluation

$5K

504 claims · 0.0%

Your Cost: $9.30/claim|Median: $99.21
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$4K

1,624 claims · 0.0%

Your Cost: $2.66/claim|Median: $72.71
0.0× median
0064ANormal range

$4K

199 claims · 0.0%

Your Cost: $20.96/claim|Median: $34.17
0.6× median
90677Top 25%

$4K

56 claims · 0.0%

Your Cost: $73.72/claim|Median: $12.96
5.7× median
91320Normal range

$3K

53 claims · 0.0%

Your Cost: $60.48/claim|Median: $72.65
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

397 claims · 0.0%

Your Cost: $6.01/claim|Median: $9.56
0.6× median
G0009Top 25%

$2K

209 claims · 0.0%

Your Cost: $10.63/claim|Median: $4.11
2.6× median
C9803Normal range

$2K

210 claims · 0.0%

Your Cost: $8.56/claim|Median: $13.20
0.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2K

60 claims · 0.0%

Your Cost: $28.66/claim|Median: $84.03
0.3× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1K

158 claims · 0.0%

Your Cost: $7.95/claim|Median: $57.85
0.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1K

1,359 claims · 0.0%

Your Cost: $0.82/claim|Median: $9.80
0.1× median
90662Normal range

$908

86 claims · 0.0%

Your Cost: $10.56/claim|Median: $6.55
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$655

67 claims · 0.0%

Your Cost: $9.78/claim|Median: $85.66
0.1× median
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